Ileal Conduit Pictures, Indications, Complications, Procedure, Care


Ileal conduit is a connection made to drain urine after the removal of urinary bladder. In this surgery, a short part of small intestine is connected with an opening made on the surface of abdomen. The opening is made to create a stoma or mouth for drainage. This urinary diversion is also known as Bricker Ileal conduit invented by Eugene M. Bricker. Ileum part of small intestine is involved in this surgical connection. When the bladder is removed a new connection is made and a bag is attached with the opening of the new system to collect the urine.


Ileal Conduit Pictures

Ileal Conduit Pictures, Indications, Complications, Procedure, Care

Ileal Conduit Pictures, Indications, Complications, Procedure, Care

Ileal Conduit Indications

       
Ileal conduit is indicated in many patients with malignancy in the urinary bladder. An injury or trauma external or internal when become severe also require ileal conduit after the removal of urinary bladder. There may be a defective urinary bladder by birth which causes problem in excreting the urine and as result the physician recommend the patient to remove urinary bladder by making a new connection named ileal conduit. A condition of patient with neurogenic non-functioning bladder is also treated via ileal conduit when all the other devices for the flow of urine are unsatisfactory and non-responsive.

Ileal Conduit Complications

         
Ileal conduit is the most useful connection made for the excretion of urine but it also have some complications. The common complication seen with ileal conduit is the renal deterioration for long time. Stenosis in the ileal conduit can occur and may develop insidiously many years after the surgery is performed. This stenosis at the ileal conduit may lead to upper urinary tract infection. The complications of ileal conduit may persist for long term. There may be bowel complications along with nausea and vomiting. Complications in the stomal opening can also occur adversely along with infection.

Ileal Conduit Procedure

         
Ileal conduit is done by two main techniques named continent diversion and conduit diversion. The continent diversion is also known as continent catheterizable stomal reservoir. In this technique, a separate reservoir at rectum is created for the urine. This reservoir is created for the evacuation of urine from the body. The conduit diversion is also known as orthotropic urethral anastomotic procedure. In this technique an opening is made on the surface of the abdomen and a small bag is attached with it to collect the urine. Ileal conduit is a small reservoir of bowel to collect the urine.

Ileal Conduit Care

           
After the surgery of ileal conduit, care is required to make the surgery successful. The incision of the surgery should be washed with care daily with the help of antiseptic. The wound or stoma made on abdomen should be washed with soap and with normal water. The bandages should be changed daily or when get dirty with the clean one. In ileal conduit surgery, the bag attached should be changed when it became full. This should be done with great care. The patient also have to focus on their diet to make the urine slight acidic.
Ileal Conduit Pictures, Indications, Complications, Procedure, Care Ileal Conduit Pictures, Indications, Complications, Procedure, Care Reviewed by Simon Albert on June 04, 2017 Rating: 5
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